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<title>Documento sin t&iacute;tulo</title>
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<form id="form1" name="form1" method="post" action="">
  <table width="1020" border="1">
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      <td width="196" rowspan="2" bordercolor="#FFFFFF" class="PanelTabla Estilo1"><div align="center"><strong>FORMALIZA TU NEGOCIO </strong></div></td>
      <td colspan="5" bordercolor="#FFFFFF" class="TituloSeccion">Lista de Negocios Permitidos en la Direccion Seleccionada </td>
    </tr>
    <tr>
      <td width="174" bordercolor="#FFFFFF" class="Titulos"><div align="right">Direcci&oacute;n : </div></td>
      <td colspan="4" bordercolor="#FFFFFF"><label>
        <input name="textfield" type="text" size="70" />
      </label></td>
    </tr>
    <tr>
      <td rowspan="5" bordercolor="#FFFFFF">&nbsp;</td>
      <td bordercolor="#FFFFFF" class="Titulos"><div align="right">Zona : </div></td>
      <td colspan="4" bordercolor="#FFFFFF"><label>
        <input name="textfield2" type="text" size="70" />
      </label></td>
    </tr>
    <tr>
      <td bordercolor="#FFFFFF" class="Titulos"><div align="right">Negocio : </div></td>
      <td colspan="3" bordercolor="#FFFFFF"><label>
        <input name="textfield3" type="text" size="70" />
      </label></td>
      <td width="200" bordercolor="#FFFFFF"><label>
        <input name="Submit" type="submit" class="Botones" value="Buscar" />
      </label></td>
    </tr>
    <tr>
      <td bordercolor="#FFFFFF">&nbsp;</td>
      <td width="59" bordercolor="#FFFFFF">&nbsp;</td>
      <td width="237" bordercolor="#FFFFFF">&nbsp;</td>
      <td width="114" bordercolor="#FFFFFF">&nbsp;</td>
      <td bordercolor="#FFFFFF">&nbsp;</td>
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    <tr>
      <td colspan="2" bordercolor="#FFFFFF" class="TituloFormulario"><div align="center">Codigo</div></td>
      <td colspan="2" bordercolor="#FFFFFF" class="TituloFormulario"><div align="center">Negocio - Grupo </div></td>
      <td bordercolor="#FFFFFF" class="TituloFormulario"><div align="center">Giro</div></td>
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      <td height="72" bordercolor="#FFFFFF">&nbsp;</td>
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      <td bordercolor="#FFFFFF">&nbsp;</td>
      <td colspan="5" bordercolor="#FFFFFF"><label>
        <div align="right">
          <input name="Submit2" type="submit" class="Botones" value="Regresar" />
        </div>
      </label></td>
    </tr>
  </table>
</form>
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